真气不足。邪留于肌肉致气血凝聚为患。名曰流注初发漫肿无头。皮色不变。俱宜用葱
熨法(见卷五)皮肉不热者。可用雷火针 发在肉浓处易愈。发在骨节及空处。难疗。
益气养营汤 治怀抱抑郁。气血损伤。四肢颈项等处患肿。不问软硬赤白。或痛或不痛
。未成者自消已成者自溃。
人参 黄 (盐水炒) 当归 川芎 熟地 芍药(炒) 贝母 茯苓 香附 陈皮(各一
钱) 白术(二钱) 柴胡(六分) 甘草 桔梗(各五分) 姜
口干。加五味子麦冬 往来寒热。加地骨皮 肌肉迟生。加白蔹官桂。
木香流气饮 治流注肢节疼痛。或因暴怒胸膈不利。或湿痰所致者(一名方脉流气饮)。
当归 川芎 白芍(炒) 茯苓 黄 甘草 紫苏 乌药 青皮 半夏(制) 桔梗 防
风
枳实(炒) 陈皮(各一钱) 木香 大腹皮 槟榔 枳壳(各五分) 姜(三片) 枣(二枚)
水煎服 小便秘。加泽泻 下部加牛膝。
疮科流气饮 治流注。及一切恚怒气结肿硬。或风寒湿毒搏于经络。致成肿块。或漫肿
木闷无头。
即前方去青皮枳实半夏腹皮姜枣。加人参官桂浓朴白芷 流注初发。加羌活独活 痛。
加乳香没药。
保安万灵丹 治风湿流注。阴疽。鹤膝风。瘫病。遍身走痛。视人老壮。病势缓急量用
(用葱汁调敷患处。亦效。
茅山苍术(八两) 麻黄 羌活 荆芥 防风 细辛 川乌 草乌(汤泡去皮) 石斛 川
芎
当归 全蝎(酒洗) 甘草 何首乌 天麻(各一两) 雄黄(六钱) 为细末。炼蜜为丸。朱砂
为衣。用葱白九根煎汤下三钱。盖被出汗。痈未成即消。已成即高肿溃脓。如无表里相兼症
。不必发散。用温酒下。
散瘀葛根汤 治闪跌瘀血凝滞。
葛根 川芎 半夏(制) 桔梗 防风 羌活 升麻(各八分) 细辛 香附 甘草 红花
苏叶 白芷(各六分) 葱(三根) 姜(三片)水煎服。
通经导滞汤 治产后有瘀血流注关节。
当归 熟地 赤芍 川芎 枳壳(炒) 紫苏 香附 陈皮 丹皮 红花 牛膝(各一钱)
独活 甘草(各五分) 水煎。入酒一钟服。
托里透脓汤
人参 白术 穿山甲(炒) 白芷(各一钱) 黄 (三钱) 当归(二钱) 升麻 甘草节
(各五分炒) 皂角刺(一钱五分) 水煎。病在上部。先饮煮酒一钟。后服药。病在下部。先
服药。后饮酒。病在中部。药内兑酒半钟服。
大防风汤 治足三阴亏损。寒邪内侵。患鹤膝。附骨疽流注遍身痛。或肿而不痛。不问
已溃未溃。宜用此汤。
人参 白术 防风 羌活 熟地 杜仲(各二钱) 附子(制) 黄 牛膝 白芍(各一
钱) 川芎(一钱半) 甘草(炙) 官桂(各五分○一方有当归姜无官桂。)
以上方对症择用。一服至三四五服。量病轻重。
前症若因脾气虚。湿滞于肉理。但肿而肌色不变。宜六君子加芎归 芍肉桂等。若伤寒汗后
余邪发肿者。宜人参败毒散小柴胡汤之类 凡流注症轻者。服药即。消。症重者必溃。将溃
时。宜服托里透脓汤。若溃而不敛者。宜人参养营汤之类。补气血为主。
骨疽。乃流注之败症也。如用凉药。则内伤其脾外冰其血。肌肉不生。气血不旺而逾滞
。宜健脾补肾。脾生血。肾主骨。肾实则骨有生气。而疽不附骨矣。
真气不足，邪气滞留于肌肉之中，导致气血凝聚而形成疾患，称为流注。初起时漫肿无头，皮色不变，均宜使用葱熨法（见卷五）。若皮肉不热者，可用雷火针灸治。发于肌肉丰厚处者容易治愈；发于骨节及空软之处者，难以治疗。
益气养营汤：用于治疗因怀抱抑郁、气血受损，在四肢、颈项等处发生的肿胀。无论肿块软硬、颜色赤白，或痛或不痛，未成脓者可自行消散，已成脓者可自行溃破。
处方组成：人参、黄芪（用盐水炒）、当归、川芎、熟地黄、芍药（炒）、贝母、茯苓、香附、陈皮（各一钱）、白术（二钱）、柴胡（六分）、甘草、桔梗（各五分），加生姜煎服。
加减法：口干者，加五味子、麦冬；往来寒热者，加地骨皮；肌肉生长迟缓者，加白蔹、官桂。
木香流气饮：用于治疗流注引起的肢节疼痛，或因暴怒导致胸膈气机不利，或由湿痰所致者（又名方脉流气饮）。
处方组成：当归、川芎、白芍（炒）、茯苓、黄芪、甘草、紫苏、乌药、青皮、半夏（制）、桔梗、防风、枳实（炒）、陈皮（各一钱）、木香、大腹皮、槟榔、枳壳（各五分），加生姜三片、大枣二枚，水煎服。
加减法：小便短少涩滞者，加泽泻；病位在下部者，加牛膝。
疮科流气饮：用于治疗流注，以及一切因恚怒气结导致的肿硬，或风寒湿毒搏结于经络，致使形成肿块，或漫肿木闷无头者。
此方即前方去青皮、枳实、半夏、大腹皮、生姜、大枣，加入人参、官桂、厚朴、白芷。
加减法：流注初发者，加羌活、独活；疼痛剧烈者，加乳香、没药。
保安万灵丹：用于治疗风湿流注、阴疽、鹤膝风、瘫病，以及遍身游走性疼痛。根据患者年老体壮情况及病情缓急，酌情用量（亦可用葱汁调敷患处，同样有效）。
处方组成：茅山苍术（八两）、麻黄、羌活、荆芥、防风、细辛、川乌、草乌（开水泡去皮）、石斛、川芎、当归、全蝎（酒洗）、甘草、何首乌、天麻（各一两）、雄黄（六钱）。研为细末，炼蜜为丸，朱砂为衣。服用时用九根葱白煎汤送服三钱，服药后盖被取汗。若痈肿未成即可消散，已成则可高肿溃脓。若无表里兼症，不必发散，可用温酒送服。
散瘀葛根汤：用于治疗闪挫跌打导致的瘀血凝滞。
处方组成：葛根、川芎、半夏（制）、桔梗、防风、羌活、升麻（各八分）、细辛、香附、甘草、红花、苏叶、白芷（各六分），加葱三根、姜三片，水煎服。
通经导滞汤：用于治疗产后瘀血流注于关节。
处方组成：当归、熟地黄、赤芍、川芎、枳壳（炒）、紫苏、香附、陈皮、牡丹皮、红花、牛膝（各一钱）、独活、甘草（各五分），水煎，入酒一钟服用。
托里透脓汤
处方组成：人参、白术、穿山甲（炒）、白芷（各一钱）、黄芪（三钱）、当归（二钱）、升麻、甘草节（各五分，炒）、皂角刺（一钱五分），水煎。病位在上部者，先饮煮酒一钟，再服药；病位在下部者，先服药，后饮酒；病位在中部者，药液中兑入半钟酒服用。
大防风汤：用于治疗足三阴经亏损，寒邪内侵，患鹤膝风、附骨疽、流注遍身疼痛，或肿胀而不痛者。无论已溃或未溃，均宜使用此汤。
处方组成：人参、白术、防风、羌活、熟地黄、杜仲（各二钱）、附子（制）、黄芪、牛膝、白芍（各一钱）、川芎（一钱半）、甘草（炙）、官桂（各五分）。（另一版本有当归、生姜，无官桂。）
以上方剂需对症择用，一般服用一至三四五服，视病情轻重而定。
前述病症若因脾气虚弱，湿气停滞于肌肉纹理之间，仅见肿胀而肌肉颜色不变，宜用六君子汤加川芎、当归、芍药、肉桂等。若因伤寒发汗后余邪未尽导致肿胀者，宜用人参败毒散、小柴胡汤之类。凡流注症轻者，服药即可消散；症重者必然溃破。将溃之时，宜服用托里透脓汤。若溃后久不收敛者，宜用人参养营汤之类，以补益气血为主。
骨疽，乃是流注的败坏重症。如果使用凉药，则会内伤脾胃，外冰血脉，导致肌肉不生，气血不旺而更加凝滞。应当健脾补肾，脾能生血，肾主骨，肾气充实则骨骼有生气，而疽便不会附着于骨了。
Insufficient Zhenqi (True Qi) allows pathogenic factors to remain in the muscles, causing Qi and Blood to congeal and form a disorder known as Liuzhu (Flowing Abscess). Initially, there is diffuse swelling without a head, and the skin color remains unchanged. All such cases should be treated with Congyi Method (Onion Moxibustion) (see Volume 5). If the skin and flesh are not hot, Leihuo Needle (Thunder-Fire Needle) moxibustion can be used. Cases occurring in areas with abundant muscle tissue are easy to cure; those occurring at bone joints or hollow/soft areas are difficult to treat.
Yiqi Yangying Decoction (Benefit Qi and Nourish Ying Decoction): Treats swelling in the limbs, neck, and other areas caused by emotional depression and damage to Qi and Blood. Regardless of whether the swelling is soft or hard, red or white, painful or painless, unformed abscesses will resolve spontaneously, and formed abscesses will rupture spontaneously.
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix) stir-fried with salt water, Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudi (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix) stir-fried, Beimu (Fritillariae Thunbergii Bulbus), Fuling (Poria), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Chaihu (Bupleuri Radix) (6 fen), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix) (each 5 fen), add Shengjiang (Zingiberis Rhizoma Recens) for decoction.
Modifications: For dry mouth, add Wuweizi (Schisandrae Chinensis Fructus) and Maidong (Ophiopogonis Radix); for alternating chills and fever, add Digupi (Daturae Radix); for delayed muscle regeneration, add Bailian (Ibomi Radix) and Guigui (Cinnamomi Cortex).
Muxiang Liuqi Yin (Wood Fragrance Qi-Regulating Drink): Treats joint pain due to Liuzhu, or chest and diaphragm discomfort due to sudden anger, or conditions caused by damp-phlegm (also known as Fangmai Liuqi Yin).
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba) stir-fried, Fuling (Poria), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), Wuyao (Linderae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Banxia (Pinelliae Rhizoma Preparatum) processed, Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus) stir-fried, Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Muxiang (Aucklandiae Radix), Dafupi (Arecae Pericarpium), Binglang (Arecae Semen), Zhike (Aurantii Fructus) (each 5 fen), add Shengjiang (Zingiberis Rhizoma Recens) 3 slices and Dazao (Jujubae Fructus) 2 pieces, decoct in water and take orally.
Modifications: For scanty and painful urination, add Zexie (Alismatis Rhizoma); for lesions in the lower body, add Niuxi (Achyranthis Bidentatae Radix).
Chuangke Liuqi Yin (Wound Specialist Qi-Regulating Drink): Treats Liuzhu and all swellings/hardnesses caused by anger stagnation, or masses formed by wind-cold-damp-toxicity clashing in the meridians, presenting as diffuse swelling, numbness, and lack of a head.
This formula is the previous formula minus Qingpi, Zhishi, Banxia, Dafupi, Shengjiang, and Dazao, plus Renshen (Ginseng Radix), Guigui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), and Baizhi (Angelicae Dahuricae Radix).
Modifications: At the initial stage of Liuzhu, add Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix); for pain, add Rushen (Boswelliae Resina) and Moyao (Commiphora Myrrha).
Bao'an Wanling Dan (Security Ten-Thousand Spirits Pill): Treats wind-damp Liuzhu, Yin Ju (Yin Abscess), Hexi Feng (Crane Knee Wind), Tanbing (Paralysis), and wandering pain throughout the body. Dosage varies according to the patient's age/strength and the severity of the condition (applying mixed with onion juice to the affected area is also effective).
Ingredients: Maoshan Cangzhu (Atractylodis Rhizoma) (8 liang), Mahuang (Ephedrae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Chuanwu (Aconiti Radix Preparata), Caowu (Aconiti Kusnezoffii Radix Preparata) soaked in water and peeled, Shihu (Dendrobii Caulis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Quanxie (Scorpio), Gancao (Glycyrrhizae Radix et Rhizoma), Heshouwu (Polygoni Multiflori Radix), Tianma (Gastrodiae Rhizoma) (each 1 liang), Xionghuang (Realgar) (6 qian). Grind into fine powder, make pills with refined honey, coat with Zhusha (Cinnabar). Take 3 qian with a decoction of 9 green onion whites, cover with blankets to induce sweating. If the carbuncle is unformed, it will dissipate; if formed, it will swell high and suppurate. If there are no exterior-interior combined symptoms, dispersing methods are not necessary; take with warm wine instead.
Sanyu Gegen Tang (Dispersing Stasis Puerariae Decoction): Treats blood stasis stagnation due to sprains and falls.
Ingredients: Gegen (Puerariae Lobatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxia (Pinelliae Rhizoma Preparatum) processed, Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma) (each 8 fen), Xixin (Asari Radix et Rhizoma), Xiangfu (Cyperi Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Honghua (Carthami Flos), Suye (Perillae Folium), Baizhi (Angelicae Dahuricae Radix) (each 6 fen), add Congbai (Allii Fistulosi Bulbus) 3 roots and Shengjiang (Zingiberis Rhizoma Recens) 3 slices, decoct in water and take orally.
Tongjing Daoshi Tang (Unblocking Meridians and Guiding Stagnation Decoction): Treats postpartum blood stasis flowing into the joints.
Ingredients: Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus) stir-fried, Zisu (Perillae Folium), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danpi (Moutan Cortex), Honghua (Carthami Flos), Niuxi (Achyranthis Bidentatae Radix) (each 1 qian), Duhuo (Angelicae Pubescentis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 fen), decoct in water, add one zhong of wine and take orally.
Tuoli Toungong Tang (Supporting Interior and Penetrating Pus Decoction)
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanshanjia (Manis Squama) stir-fried, Baizhi (Angelicae Dahuricae Radix) (each 1 qian), Huangqi (Astragali Radix) (3 qian), Danggui (Angelicae Sinensis Radix) (2 qian), Shengma (Cimicifugae Rhizoma), Gancao Jie (Glycyrrhizae Radix et Rhizoma node) stir-fried (each 5 fen), Zaocispicula (Gleditsiae Spina) (1.5 qian), decoct in water. For diseases in the upper body, drink one zhong of boiled wine first, then take the medicine; for diseases in the lower body, take the medicine first, then drink wine; for diseases in the middle body, mix half a zhong of wine into the medicine and take.
Da Fangfeng Tang (Great Saposhnikovia Decoction): Treats deficiency of the three Yin meridities of the foot, internal invasion of cold pathogens, resulting in Crane Knee Wind, Guyiju (Bone Abscess), Liuzhu with whole-body pain, or swelling without pain. Suitable regardless of whether ulcerated or not.
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shudi (Rehmanniae Radix Preparata), Duzhong (Eucommiae Cortex) (each 2 qian), Fuzi (Aconiti Lateralis Radix Preparata) processed, Huangqi (Astragali Radix), Niuxi (Achyranthis Bidentatae Radix), Baishao (Paeoniae Radix) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) roasted, Guigui (Cinnamomi Cortex) (each 5 fen). (Another version includes Danggui and Shengjiang, without Guigui.)
Select the above formulas according to the specific syndrome. Take one dose up to three, four, or five doses, depending on the severity of the disease.
If the aforementioned conditions are due to Spleen Qi deficiency with dampness stagnating in the muscle texture, presenting only as swelling with unchanged skin color, use Liujunzi Tang (Six Gentlemen Decoction) plus Chuanxiong, Danggui, Shaoyao, and Rougui. If swelling occurs after sweating from Shanghan (Cold Damage) due to residual pathogens, use Ren Shen Bai Du San (Ginseng Detoxifying Powder) or Xiao Chai Hu Tang (Minor Bupleurum Decoction) etc. Generally, mild Liuzhu cases resolve with medication; severe cases must ulcerate. When about to ulcerate, take Tuoli Toungong Tang. If ulcers fail to heal, use Renshen Yangying Tang (Ginseng Nourishing Ying Decoction) etc., focusing on tonifying Qi and Blood.
Guyiju (Bone Abscess) is a deteriorated severe stage of Liuzhu. Using cooling medicines would internally injure the Spleen and externally freeze the Blood, preventing muscle growth and weakening Qi and Blood, leading to further stagnation. One should strengthen the Spleen and tonify the Kidney. The Spleen generates Blood, and the Kidney governs Bone. When the Kidney is solid, the Bone has vital energy, and the abscess will not adhere to the bone.